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Ocean Point Claims Company
Ocean Point Claims:improper repairs denial
Denial Playbook

Improper Repairs Denial

Carriers sometimes deny citing 'improper prior repairs.' The argument: your or someone else's prior work created the loss. Documenting repair quality counters this.

The argument

Carrier: "Damage resulted from improperly executed repair, not the claimed event."


Common scenarios

  • Roof repair allegedly caused subsequent leak
  • Plumbing repair allegedly caused subsequent water damage
  • Electrical work allegedly caused fire
  • Structural modification causing failure

Ocean Point Claims:reopening denied claims

How to counter

Permit and inspection records

  • Licensed contractor pulled permit
  • Inspection passed
  • Code-compliant work documented

Contractor qualification

  • Licensed in Florida
  • Insured
  • References

Independent assessment

  • Forensic engineer reviewing prior work
  • Comparison to industry standards
  • Causation analysis distinguishing prior repair from current loss

Temporal separation

  • Prior repair completed date
  • Current event date
  • Intervening period without issue

Policy language

  • "Resulting damage" coverage
  • Covered peril can still apply even with prior repair history
  • Exclusions must be strictly construed

Related

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